Provider Demographics
NPI:1275709123
Name:CLINICAL PATHOLOGY ASSOCIATES OF FREDERICKSBURG LLC
Entity Type:Organization
Organization Name:CLINICAL PATHOLOGY ASSOCIATES OF FREDERICKSBURG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:HUGGINS
Authorized Official - Last Name:GEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-741-1130
Mailing Address - Street 1:1001 SAM PERRY BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401
Mailing Address - Country:US
Mailing Address - Phone:540-741-1130
Mailing Address - Fax:540-741-4000
Practice Address - Street 1:1001 SAM PERRY BOULEVARD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401
Practice Address - Country:US
Practice Address - Phone:540-741-1130
Practice Address - Fax:540-741-4000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Single Specialty